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Long-Term Entrapment

It is possible that a CCITT may be asked to bring specialty care to the scene of a prolonged entrapment that requires ongoing medical management or a critical intervention, such as an amputation.

Under these circumstances, the CCITT must know how to function under the incident command (IC) system for safety and accountability. Every team member should under­stand the basic concepts of IC and understand that scene work or evaluation of multiple patients demands a level of personal and team awareness and communication that may not be realized in routine daily single-patient or transfer operations. Some states require that CCITT members have EMT-B certification (or higher), which helps to prepare the interfacility participant for EMS activities. Some CCITTs will require nursing or other members to obtain EMT-B, EMT-I, or EMT-P certification in addition to their pri­mary academic preparation to help prepare for potential EMS activities. In Pennsylvania, for example, a critical care transport nurse is required to have additional EMS certification, which leads to a recognized designation as a prehospital registered nurse (PHRN). This helps ensure that these nurses possess the necessary skills to function in the prehospital environment on a routine and an emergency basis.

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Source: AAP. Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients. 4th edition. — American Academy of Pediatrics,2015. — 488 p.. 2015
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